NURS 551 Trivia game

Front

What is the nurse’s first priority for Mr. Lopez, who is postoperative day 2 after a right total hip arthroplasty and suddenly develops pleuritic chest pain, dyspnea, tachycardia, hypotension, and new right-calf tenderness and swelling?

Back

Apply high-flow oxygen and raise HOB

Front

Which diagnostic is most urgent to confirm PE? Options: D-dimer, CT pulmonary angiography, V/Q scan, Point-of-care ultrasound of the leg

Back

CT pulmonary angiography

Front

Which finding is a major contraindication to thrombolysis? Options: Age >65, Post-op day 2 after major surgery, Prophylactic heparin today, SpO₂ <88%

Back

Post-op day 2 after major surgery

Front

Which change signals worsening obstructive shock? Options: Anxiety subsides, BP drops to 78/48 with cool mottled skin, RR falls to 20 with new wheeze, Calf tenderness improves

Back

BP drops to 78/48 with cool mottled skin

Front

Why is IV unfractionated heparin (UFH) often preferred initially?

Back

It can be rapidly titrated and reversed

Front

Mr. C., 52, presents 12 hours after his last drink with tremors, diaphoresis, nausea, anxiety, and insomnia. Vitals: BP 168/98, HR 122, RR 24, T 99.9°F. He reports drinking a fifth of liquor daily. Oriented ×2, distractible, restless. Labs pending. Which medication should be administered before IV dextrose?

Back

Thiamine

Front

Which tool best standardizes withdrawal severity? Options: PHQ-9, COWS, CIWA, GAD-7

Back

CIWA

Front

Which change most strongly suggests progression to DTs? Options: Increased tremor, Visual hallucinations + disorientation + 103°F, Sleepiness and improving vitals, Mild anxiety, BP 140/88

Back

Visual hallucinations + disorientation + 103°F

Front

Lena, 10, presents lethargic with new-onset polyuria, polydipsia, abdominal pain, and vomiting. Vitals: HR 138, RR 30 Kussmaul, BP 102/60. Labs: glucose 520, pH 7.10, HCO₃ 8, K⁺ 4.8, Na⁺ 132. Positive ketones, cap refill 3–4 sec, mucous membranes dry. What is the first intervention? Options: IV regular insulin bolus, 10–20 mL/kg isotonic saline bolus, 0.45% saline maintenance fluids, Bicarbonate infusion.

Back

10–20 mL/kg isotonic saline bolus

Front

When is insulin infusion typically started?

Back

After initial fluid resuscitation and confirmation of serum K⁺, with continuous IV infusion